Homestead_Mull/\'.
J. RobeA Kinkle Aitomev
� Reparero([6e5a7aDixlosureFOrm Ttle
Hall. Partenheimer & Kinkle
co„���y
Princeton IN 47670
[itt, Smfe, and Z1PCOde Telephane Num6er
E.
Seller 1� Name os opyeaa on rowe�wnm documeul
Addrecs (Num6er ond StreetJ
Owansville IN 47665
lirv, Stnta and ],IP Code
�
Chric A LuPbkP alk/a ChrisN A Elners
Seller 2� A'ome as appears on ronvryonae document
7601 W. 2�5 S.
Addrrss (Number ond5treelJ
,
'aee 2
E-mail
Under penalties of perjury, I hereby cer[ify [ha[ this Sales Disclosure, to [he best of my knowledge and belief, is [rue, correct
and compl te as required by law, and is prepared in accordance «' LZ'� 1-5.5, ' eal8roperty Sales Disclosure Ac[".
���1 ! I �?�,4,..h�C�� g1��� s-5 -� i
�gnam ro(Seller gmNreo eller
..__�. � � ..,.�i,.. . �/9 /// r�,.�«.,[d e .,me, r�..��n, n n..e.� . �l —�C —/ �
APPLICATION FOR PROPERTY
I Name
Huyer 2� Nnme as oppevrs on rom��nre Jxumen!
Princeton IN 47670
THESALESDISCLOSUREiORMMdSBEUSEOTOAPPLI'FORCF.RTAI\DEDURIOYSF ISPROPERTY.IDEtiTINALLOFTF
YES NO CORDITIOY YES YO CO\DITIO\
Q � 1. 41'ill [his property be the buyer'S primary Q ❑ 3. Homestead
residence? Provide complete address of prim � � 4. Solar Ener
residence, including county: I . ,.., o,.,..a
7601 W 275 S
Addrecs (Number ondStreerJ
Owensville IN 47665 Gibson
cry, svae zir cme co���ry
� � 2. Does the buyer have a homes[ead in Indiana to be
��acated (m� this residence? If yes, provide
comple[e address of residence being vaca[ed,
including county:
Addrvs (Numbel and StrreQ
Ciq'. Slafe ZIP lode
Cmrnry
APPLV.
Device
System
� Q✓ 6. Hydroelectric Power Device
❑ 0✓ 7. Geothermal Energy Heating/Cooling Device
� Q 8. Is this property a residential rental property?
❑ Q 9. Would you like to receive tax s[atements for this
property via e-mail? (Provide con[oct rnformation
below. Please see instruc[ions for more injorma[ion.
No[ availa6le in all counties.)
o?�-�v- aG-�oo• 6v/. vs�o- aa�
David R. 8 Amanda R. Mul�
Pn'man' uronern� owner mnmrt nnme E-mvil
Under penalties of perjury, I hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is We, correct
and complete as required by law, and is prepared in az�ordance with IC 6-11-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbe s are not necessary if no Homestead Dedudion is
being � d.) �\ \�� 'C 1 ���`) /fL/12 A �/L � / /(G(Y�
Signororeo/BuyeA S��Buver2/Spouse /� I�''
�_._�......0 A..�eM�D I.,I�AI �
/ •
Las[ 5 digi[s aJBuyer 7 Drirer"s
License/1 D/Other Num6er
Date
Lost 5 Digirs oJ5ana1 Szcunry Number
ofNui'er2/Spouse
Las[ 5 AigiGS afBuyer2/Spouse Driver's Sm[e Last S Digifs o(Social5ecunry
Num6er Lirense/ID/OtherNumber